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Ultrasound-guided vs. non-guided trigger finger release: a systematic review and meta-analysis.

Authors :
Garcia, Hélio Rubens Polido
Mund, Eduardo
Romeiro, Pedro
Source :
International Orthopaedics. Sep2024, Vol. 48 Issue 9, p2429-2437. 9p.
Publication Year :
2024

Abstract

Purpose: Trigger finger (TF) is a common hand condition that can be treated with surgery. We conducted a systematic review and meta-analysis to assess whether ultrasound-guided (US-guided) percutaneous surgery is superior to other conventional surgical methods. Methods: We conducted a comprehensive search in Medline, Embase, and the Cochrane Library to identify relevant studies. We included randomized clinical trials (RCTs) and observational studies comparing US-guided TF release with blind percutaneous or open approaches. We combined Risk Ratios (RR) and Mean Differences (MD) with 95% Confidence Intervals (CI) across studies. Data processing and analysis were conducted using R software, version 4.3.1. Results: Our analysis included eight RCTs and two observational studies with 555 patients. US-guided surgery significantly reduced postoperative DASH scores (MD -3.75 points; 95% CI = -7.48, -0.02; p < 0.01), shortened time to resume activities (MD -11.52 days; 95% CI = -16.13, -6.91; p < 0.01), hastened discontinuation of oral analgesics (MD -4.44 days; 95% CI = -8.01, -0.87; p < 0.01), and improved patient satisfaction scores (RR 1.13; 95% CI = 1.04, 1.23; p = 0.75). There were no significant differences in VAS scores, time to movement recovery, or surgical success rate. Conclusion: Ultrasound-guided percutaneous release is a safe, effective, and superior alternative for treating TF compared to other methods, leading to improved DASH scores, quicker recovery, faster cessation of oral analgesics, and enhanced patient satisfaction. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03412695
Volume :
48
Issue :
9
Database :
Academic Search Index
Journal :
International Orthopaedics
Publication Type :
Academic Journal
Accession number :
179258823
Full Text :
https://doi.org/10.1007/s00264-024-06243-z